Individual provider Active NPI

Kathleen Cavanaugh, RN, MS, ANP-BC

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1992009427
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP 14276 Issued in CA
Practice address
1600 Divisadero St
Box #1702
San Francisco, CA 94115-3010
Phone
(415) 353-9600
NPI assigned
Dec 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP 14276 CA Primary

Addresses

Primary practice location

1600 Divisadero St
Box #1702
San Francisco, CA 94115-3010

Mailing address

1600 Divisadero St
Box #1702
San Francisco, CA 94115-3010
Phone (415) 353-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000887 CA Practitioner - Nurse Practitioner 5294918793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

Practice addresses (Care Compare)

1600 Divisadero St
San Francisco, CA 94143-3010
Phone (415) 476-1000

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
14276CAMDSpeech-Language Pathologist
NP 14276CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince May 2, 2015 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince May 2, 2015 Accepting new patients
University of California San Francisco CurrentSince May 2, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 2, 2015 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 353-7175

1600 Divisadero St
#1702
San Francisco, CA 94143
Phone (415) 353-9600

1545 Divisadero St
Fl 4
San Francisco, CA 94143
Phone (415) 353-7700

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: kcavanaugh15120@direct-ucsfmedicalcenter.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1992009427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "BOX #1702",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-353-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "BOX #1702",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153010",
            "telephone_number": "415-353-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RN, MS, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 14276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.